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ZI FORM 1193 AMERICAN RED CROSS NURSING SERVICE REV. 10-26-38 PHYSICAL EXAMINATION (Follow instructions at end of form in answering all questions) 1. Name of applicant Miss Marie Ramsey Address 350 Judah St., City San Francisco State California 2. Age 29 Height 5' / 3/8 Weight 113 3. Family history so significant findings 4. Past history: General health, operation, injury, any illnesses. general shellh good Har hed must childhood deseases plus. dephthema 1933 5. General physique average 6. Eyes: Pupils; Right eye; Distant vision 20/20 Corrected to x Lens used Left eye; Distant vision 20/20 Corrected to x Lens used NOTE: . Actual vision should be determined on proper letters for 20 foot distant, as 20-20, 20-30, 20-100, etc. If glasses are worn state correction. 7. Ears: /hanning good Passages clear 8. Teeth and gums: (note abnormalities) well kept NOTE:-Check chart on other side of blank. 9. Throat Jansil absent Throat clear 10. Neck: (Thyroid gland and other abnormalities) so grandular enlangument 11. Skeletal: (Bones, joints, muscles and feet) Normal Feet good 12. Thorax: Expiration 30 inches Inspiration 33% inches Respiration 15 per minute Lungs to percussion and auscultation Clear Cardio-vascular system None FEB 4 -1948 Heart: Size 12M enlaged Murmurs nine Pulse 68 Blood pressure: S 102 D 64 (Over)

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    "ocrText": "ZI\nFORM 1193\nAMERICAN RED CROSS NURSING SERVICE\nREV. 10-26-38\nPHYSICAL EXAMINATION\n(Follow instructions at end of form in answering all questions)\n1. Name of applicant Miss Marie Ramsey\nAddress 350 Judah St.,\nCity\nSan Francisco\nState California\n2. Age\n29\nHeight\n5' / 3/8\nWeight\n113\n3. Family history\nso significant findings\n4. Past history: General health, operation, injury, any illnesses. general shellh good\nHar hed must childhood deseases plus. dephthema 1933\n5. General physique\naverage\n6. Eyes: Pupils; Right eye; Distant vision 20/20 Corrected to x Lens used\nLeft eye; Distant vision 20/20 Corrected to x Lens\nused\nNOTE: . Actual vision should be determined on proper letters for 20 foot distant, as 20-20, 20-30, 20-100, etc.\nIf glasses are worn state correction.\n7. Ears:\n/hanning good Passages clear\n8.\nTeeth and gums: (note abnormalities) well kept\nNOTE:-Check chart on other side of blank.\n9. Throat Jansil absent\nThroat clear\n10. Neck: (Thyroid gland and other abnormalities)\nso grandular\nenlangument\n11. Skeletal: (Bones, joints, muscles and feet)\nNormal\nFeet good\n12. Thorax: Expiration\n30\ninches\nInspiration 33% inches\nRespiration\n15\nper minute\nLungs to percussion and auscultation\nClear\nCardio-vascular system\nNone\nFEB 4 -1948\nHeart: Size\n12M enlaged\nMurmurs\nnine\nPulse\n68\nBlood pressure: S 102 D\n64\n(Over)"
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